NPI | 1619520293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN230432) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA RN230432) |
Enumeration Date | 2019-07-22 |
Last Update Date | 2023-01-02 |